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*Registration Form Happy Kids Childcare Sept. 2022
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* Indicates required question
Email
*
Your email
Location of Childcare
*
Childcare at Robina Baker School Devon
Childcare at Calmar Elementary School in Calmar
Child's Name:
*
First Name, Last Name Eg. John Smith
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Start date for Childcare
*
MM
/
DD
/
YYYY
Type of Care (Before subsidy)
*
Kinder Care Full time $775
Kinder Care Part Time $485 (Other day than the kindergarten day and some Fridays. Part time care includes PD Days but does not include school break such as spring/summer/fall/winter breaks. If we have spaces available we can accommodate this at very discounted rate.)
Before and After School Care Full Time $570 (Full time care rates during summer are $700)
Before School care Only $370
Before and After School care part time any 3 days $385 (Part time care includes PD Days but does not include school break such as spring/summer/fall/winter breaks. If we have spaces available we can accommodate this at very discounted rate.)
Pre Kindergarten (age 3 to before kindergarten) $900-Grant and subsidy
Pre Kindergarten (age 3 to 4) $950 - Grant and Subsidy
Drop in care $40 a day is only available if we have spaces available
Other:
Parent 1 Name:
*
First, Last
Your answer
Parent 1 Relationship to Child
*
Mother
Father
Other:
Parent 1 Phone Number:
*
Your answer
Parent 1 Email Address:
*
First, Last
Your answer
Parent 2 Name:
*
First, Last
Your answer
Parent 2 Relationship to Child
*
Mother
Father
Other:
Parent 2 Phone Number:
*
Your answer
Parent 2 Email Address:
*
First, Last
Your answer
Medical Concerns for child:
*
Asthma
Allergies
Dietary Restrictions
Regular Medication
None
Other:
Required
Please add additional details regarding your child's medical concerns:
*
Indicate n/a if there are no concerns.
Your answer
Does your child have any needs or does your child require any additional support?
*
Yes,
No
Maybe
Please describe any needs or additional support required for you child. Indicate n/a if no additional support required.
*
Your answer
Please share any additional information you would like me to know about your child.
Your answer
I understand that there will be additional information forms to fill after care is confirmed.
*
Yes
A copy of your responses will be emailed to the address you provided.
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